Bill > HB570

This bill modifies the Prior Authorization Act to prohibit health insurers from requiring prior authorization for several specific medical services and prescription medications. The bill prevents insurance companies from mandating advance approval before patients can receive chemotherapy, dialysis, elder care, and home health care services. For these services, insurers can still require healthcare providers to notify them after services have been initiated and to submit a treatment plan that complies with federal law. Additionally, the bill expands existing protections for prescription medications, adding diabetes and high blood pressure treatments to the list of conditions for which insurers cannot require prior authorization or step therapy protocols. This means patients with these conditions can more quickly access their prescribed medications without going through additional administrative hurdles, except when alternative generic or biosimilar versions of the medication are available. The modifications aim to streamline healthcare access and reduce bureaucratic barriers for patients receiving critical medical treatments.

Budget and Finance, Health and Social Services

https://www.nmlegis.gov/Legislation/Legislation?chamber=H&legtype=B&legno=570&year=25